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General NPI Number Information
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NPI Number | 1649542457
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Entity Type | Organization
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Legal Business Name | LINKING THE GAP COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 02/09/2012
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Last Update Date | 02/09/2012
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Provider Practice Location Address
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Address Line | 2500 EAST T. C. JESTER, SUITE 216
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City | HOUSTON
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State | TX
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Zip | 77008
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Country | US
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Telephone | 713-366-9803
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Fax |
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Provider Business Mailing Address
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Address Line | 5315 CYPRESS CREEK PKWY # 353
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City | HOUSTON
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State | TX
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Zip | 77069-4426
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Country | US
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Telephone | 713-259-2945
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MS. PERTRICE MARLENE CRUMP
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Credential | M.A.
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Telephone | 713-259-2945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 62182
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License Number State | TX
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